The deep inferior epigastric perforator flap has become increasingly popular for breast
reconstruction with the most common recipient vessels being the internal mammary artery
and vein. In certain cases, however, these recipient vessels are inadequate due to an
absent or diminutive vein. Moreover, patients at high risk for future coronary artery disease
may sacrifice the best conduit for coronary revascularization if the internal mammary
recipients are used. Alternative recipient vessels, including the thoracodorsal …